Boulder Family Medicine, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28790 Issued in CO

Legal business name

BOULDER FAMILY MEDICINE, PC

Practice address

1000 Alpine Ave
Ste 260
Boulder, CO 80304-3406

Phone

(303) 996-6923

Fax

(303) 996-6926

NPI assigned

Aug 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Charles Tawa, M.D.NPI 1437116555

Title

Manager/Owner

Phone

(303) 996-6923

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles E Tawa, MD

  • Family Medicine Physician
  • Dacono, CO
  • NPI 1437116555
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1295929503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ALPINE AVE",
            "address_2": "STE 260",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043406",
            "telephone_number": "303-996-6923",
            "fax_number": "303-996-6926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 ALPINE AVE",
            "address_2": "STE 260",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803043406",
            "telephone_number": "303-996-6923",
            "fax_number": "303-996-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER FAMILY MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "TAWA",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "303-996-6923",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "28790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "C802261",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01287903",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boulder Endodontics PC
• Boulder Endodontics PLLC
• Boulder Eye Care Professionals LLC
• Boulder Eye Surgeons
• Boulder Family Acupuncture LLC
• Boulder Family Practice Clinic
• Boulder Gynecology & Minimally Invasive Surgery
• Boulder Gynecology & Minimally Invasive Surgery PC
• Boulder Headache and Pain PLLC
• Boulder Health and Racquet Club

• Family Medicine Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.